Ignacio M Carrillo Nunez MD PC

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

A051049 Issued in CA

Legal business name

IGNACIO M CARRILLO NUNEZ MD PC

Practice address

18111 Brookhurst St
Suite 6200
Fountain Valley, CA 92708-6728

Phone

(714) 797-9027

Fax

(714) 378-5517

NPI assigned

Jun 8, 2016

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ignacio Marcos Carrillo-Nunez, MDNPI 1205827201

Title

President

Phone

(714) 797-9027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ignacio Marcos Carrillo-Nunez, M.D.

  • Neurology Physician
  • Long Beach, CA
  • NPI 1205827201
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1659720811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "SUITE 6200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-797-9027",
            "fax_number": "714-378-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "SUITE 6200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-797-9027",
            "fax_number": "714-378-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNACIO M CARRILLO NUNEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "CARRILLO-NUNEZ",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_middle_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-797-9027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A051049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Ibrahim, D.D.S.
• Maryanne Rose Ibrahim, M.D.
• Zakkiyya Ibrahim, BEHAVIOR TECHNICIAN
• Idamed Inc (At Home Medical Equipment & Supplies)
• Ideal Mobile MD Medical Group, Inc (Ideal IPA)
• Illumination Institute
• Imaging Administrative Services
• Maria Elena Imperial, MD
• In Home Comfort and Care, Inc (Right at Home)
• In-Home Doctors Inc

• Vascular Neurology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Vascular Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.